Job Description - Voluntary Benefits Claims Consultant (250000BM)
Voluntary Benefits Claims Consultant
Primary Location : UNITED STATES-Remote
Other Locations : UNITED STATES-NY-New York, UNITED STATES-NC-Charlotte, UNITED STATES-NY-Syracuse
Organization : Equitable
Schedule : Full-time
Description
At Equitable, our power is in our people. We're individuals from different cultures and backgrounds. Those differences make us stronger as a team and a force for good in our communities. Here, you'll work with dynamic individuals, build your skills, and unleash new ways of working and thinking. Are you ready to join an organization that will help unlock your potential?
Equitable is seeking a dynamic resource to join our Employee Benefits Claims organization. This role will play a critical part in overseeing our Voluntary Benefits claims Third Party Administrator (TPA) vendor relationship, fostering collaboration, and ensuring exceptional service delivery for claimants, clients, and brokers.
Key Job Responsibilities
- Voluntary Benefits Claims Knowledge: Oversees the end-to-end claims process for Voluntary Benefits claims. Ensures claims are processed within regulatory and company guidelines. Creates and monitors reporting to ensure timeliness, accuracy, and quality.
- Stakeholder Relationships: Fosters strong relationships with our TPA partner, brokers, and clients to understand their needs and ensure high levels of satisfaction. Helps address and resolve any customer issues or concerns promptly.
- Data Analysis and Interpretation: Advanced proficiency in claims data analysis techniques and tools. Ability to interpret complex data sets to make informed decisions and drive continuous improvement initiatives. Skilled in using data to identify trends, root causes, and opportunities for enhanced processes.
- Compliance: Ensures all claims processes comply with relevant laws and regulations, leverage internal and external sources. Stays current regarding updated changes in legislation and adjusts processes accordingly.
- Collaboration: Partners with internal departments, external partners, and other key stakeholders to execute a market-leading Voluntary Benefits claims experience.
- Performs other duties as assigned.
The base salary range for this position is $75,000 - $90,000. Actual base salaries vary based on skills, experience, and geographical location. In addition to base pay, Equitable provides compensation to reward performance with base salary increases, spot bonuses, and short-term incentive compensation opportunities. Eligibility for these programs depends on level and functional area of responsibility.
For eligible employees, Equitable provides a full range of benefits. This includes medical, dental, vision, a 401(k) plan, and paid time off. For detailed descriptions of these benefits, please reference the link below.
Equitable Pay and Benefits: Equitable Total Rewards Program
Qualifications
Required Qualifications
- 3+ years of experience with Voluntary Benefits insurance claims
- Experience creating, analyzing, and refining dashboards and reporting
- Strong verbal and written communication skills
Preferred Qualifications
- Strong understanding of technology and industry trends
- Excellent client relationship management skills
- Strong presentation skills
- Comfortable dealing with complexity and ambiguity and able to explore multiple solution
Skills
Effective Communication: Proficient in effective communication concepts, tools, and techniques. Capable of transmitting, receiving, and accurately interpreting ideas, information, and needs through the application of appropriate communication behaviors.
Problem-Solving Skills: Demonstrates an ability to identify issues within the claims process and develop effective solutions promptly. Uses analytical thinking to assess situations accurately and implement strategies that enhance efficiency and service quality.
Adaptability: Adapts to changing circumstances, such as shifts in regulations or internal processes. Adaptability ensures that the team can maintain high performance and service standards even in dynamic situations.
Attention to Detail: Ensures accuracy in claims processing and reporting. Attention to detail helps in identifying discrepancies or errors in documentation, which is crucial for maintaining compliance and service quality.
Customer Service Orientation: A strong focus on customer service is important for addressing the needs of clients, claimants, and brokers effectively. This skill involves empathy, patience, and the ability to provide clear and helpful responses to inquiries or concerns.
